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Breast Cancer/Radiation after Mastectiomy

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Question
In 2010 I was told by my Surgeon I could have a lumpectomy with radiation to follow, or a Mastectomy with no further treatment. I chose the Mastectomy, and then was sent to 7 weeks of Radiation treatments. My Cancer was stage 2 because of the size, but no lymph node involvement. WHY the radiation? I can not get a straight answer from my Dr?? thank you

Answer
Without having all the details of your case I can not be 100% certain. But since it was a stage 2 tumor due to its size it is probable that it was done because of that size. The limits of the tumor when they were checked by the pathologist after surgery were likely too close to the surgical borders of the pathology specimen (your removed breast). This could not be known - at least no one could be sure - until after surgery. In order to decrease the risks that these findings made evident radiation theraoy was used. i would have made the same decision in a similar situation.


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Claes-Gustaf Nordquist, M.D.

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I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience in diagnostics and treatment of breast tumours.

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I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps.You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions on the number of questions there.

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